Unknown Individual – Cardiovascular Disease Physician, NPI 1154384394

Unknown Individual is a healthcare provider. based in South miami, Florida. specializing in Cardiovascular Disease Physician. They hold a License No. ME15117 (FL). The NPI Number for Unknown Individual is 1154384394

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154384394
Phone
(305) 666-4633
Address
6200 SW 73RD ST
Deactivation Date
23 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • SW 72 ST@SW 62 PL, 6200, Southwest 73rd Street, South Miami, Miami-Dade County, Florida, 33143, United States

    SUITE 210

    SOUTH MIAMI, FL 331434679

    Phone: (305) 666-4633

    Fax: (305) 667-1675

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33143)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1154384394.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is South Miami, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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